NPI | 1215478631 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA A158269) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A158269) |
207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: CA 158269) | |
Enumeration Date | 2017-03-17 |
Last Update Date | 2024-10-03 |